| NPI | 1902120629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20043650B) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 39154) |
| 1041C0700X Social Worker, Clinical (Licence: OH S.0901121) | |
| 1041C0700X Social Worker, Clinical (Licence: OH I.1201235) | |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2024-03-14 |